Garuda Purana

राजयक्ष्मा क्षयः शोषो रोगराडिति कथ्यते । नक्षत्राणां द्विजानाञ्च राज्ञोऽभूद्यदयं पुरा ॥ १,१५२.

It is called rājayakṣmā, kṣaya, śoṣa, and the lord of diseases; in ancient times, this affliction befell the king among stars and twice-born ones.

यच्च राजा च यक्ष्मा च राजयक्ष्मा ततो मतः । देहौषधक्षयकृतेः क्षयस्तत्सम्भवाच्च सः ॥ १,१५२.

Because both 'king' and 'yakṣma' are present, it is known as rājayakṣmā; it is called kṣaya due to the wasting of the body and vital substances, and arises from that cause.

रसादिशोषणाच्छोषो रोगराडिति राजवत् । साहसं वेगसंरोधः शुक्रौजः स्नेहसंक्षयः ॥ १,१५२.

It is called śoṣa because of the drying up of fluids and so forth; it is the lord of diseases, like a king; it arises from rash actions, suppression of natural urges, and the depletion of semen, strength, and unctuousness.

अन्नपानविधित्यागश्चत्वारस्तस्यहेतवः । तैरुदीर्णोऽनिलः पित्तं व्यर्थं चोदीर्य सर्वतः ॥ १,१५२.

Abandonment of proper rules regarding food and drink—these four are its causes; by them, wind is provoked, and pitta is disturbed everywhere in vain.

शरिरसन्धिमाविश्य ताः शिराः प्रतिपीडयन् । मुखानि स्रोतसां रुद्ध्वा तथैवातिविसृज्य वा ॥ १,१५२.

Entering the joints of the body, they press upon the veins, block the channels, or cause excessive discharge.

मध्यमूर्ध्वमधस्तिर्यगव्यथां सञ्जनयेद्धृदः । रूपं भविष्यतस्तस्य प्रतिश्यायो भृशं ज्वरः ॥ १,१५२.

They produce pain in the middle, upper, lower, and transverse parts of the body, and in the heart; the symptoms that arise are severe nasal catarrh and fever.

प्रसेको मुखमाधुर्यं मार्दवं वह्निदे हयोः । लौल्यभावोऽन्नपानादौ शुचावशुचिवीक्षणम् ॥ १,१५२.

There is excessive salivation, sweetness in the mouth, softness, impairment of digestive fire, craving for food and drink, and seeing pure and impure things alike.

मक्षिकातृणकेशादिपातः प्रायोऽन्नपानयोः । हृल्लासश्छर्दिररुचिरस्नातेऽपि बलक्षयः ॥ १,१५२.

Food and drink are often contaminated by flies, grass, hair, and the like; there is nausea, vomiting, loss of taste, and weakness even after bathing.

पाण्योरुवक्षः पादास्यकुक्ष्यक्ष्णोरतिशुक्लता । बाह्वोः प्रतोदो जिह्वायाः काये बैभत्स्यदर्शनम् ॥ १,१५२.

The hands, thighs, chest, feet, mouth, abdomen, and eyes become excessively pale; there is whip-like pain in the arms, burning of the tongue, and a repulsive appearance of the body.

स्त्रीमद्यमांसप्रियता घृणिता मूर्धगुण्ठनम् । नखकेशास्थिवृद्धिश्च स्वप्ने चाभिभवो भवेत् ॥ १,१५२.

There is fondness for women, wine, and meat, aversion, covering of the head, growth of nails, hair, and bones, and oppression in dreams.

पतनं कृकलासाहिकपिश्वापदपक्षिभिः । केशास्थितुषभस्मादितरौ समधिरोहणम् ॥ १,१५२.

There are dreams of falling, of jackals, snakes, demons, wild animals, and birds; and of ascending heaps of hair, bones, husks, and ashes.

शून्यानां ग्रामदेशानां दर्शनं शुष्यतोऽम्भसः । ज्योतिर्दिवि दवाग्नीनां ज्वलतां च महीरुहाम् ॥ १,१५२.

There are visions of deserted villages and regions, of drying up water, of light in the sky, of wildfires, and of burning trees.

पीनसश्वासकासं च स्वरमूर्धरुजोऽरुचिः । ऊर्ध्वनिः श्वाससंशोषावधश्छर्दिश्च कोष्ठगे ॥ १,१५२.

There is nasal congestion, breathlessness, cough, hoarseness, pain in the head, loss of appetite, drying up of upward breath, and vomiting from the stomach.

स्थिते पार्श्वे च रुग्बोधे सन्धिस्थे भवति ज्वरः । रूपाण्यैकादशैतानि जायन्ते राजयक्ष्मणः ॥ १,१५२.

When pain is felt in the side, fever arises in the joints; these eleven symptoms manifest in rājayakṣma.

तेषामुपद्रवान्विद्यात्कण्ठध्वंसकरी रुजाः । जृम्भाङ्गमर्दनिष्ठीववह्निमान्द्यास्यपूतिता ॥ १,१५२.

Among their complications are to be known: pain that destroys the throat, yawning, body aches, spitting, weakness of digestive fire, and foulness of the mouth.

तत्र वाताच्छिरः पार्श्वशूलनं सांगमर्दनम् । कण्ठरोधः स्वरभ्रंशः पित्तात्पादांसपाणिषु ॥ १,१५२.

There, due to wind (vāta), there is head and side pain, body aches, obstruction of the throat, and loss of voice; due to bile (pitta), pain occurs in the feet, shoulders, and hands.

दाहोऽतिसारोऽसृक्छर्दिर्मुखगन्धो ज्वरो मदः । कफादरोचकच्छर्दिकासा अर्ध्वां गगौरवम् ॥ १,१५२.

There is burning, diarrhea, vomiting of blood, foul breath, fever, and delirium; due to phlegm (kapha), there is loss of appetite, vomiting, cough, heaviness in the chest, and a sense of weight above.

प्रसेकः पीनसः श्वासः स्वरभेदोऽल्पवह्निता । दोषैर्मन्दानलत्वेन शोथलेपकफोल्बणैः ॥ १,१५२.

There is excessive salivation, nasal discharge, shortness of breath, hoarseness, and weak digestive fire; because of the humors, the digestive fire is diminished, and there is swelling, coating, and excess phlegm.

स्रोतोमुखेषु रुद्धेषु धातुषु स्वल्पकेषु च । विदाहो मनसः स्थाने भवन्त्यन्ये ह्युपद्रवाः ॥ १,१५२.

When the channels are blocked and the tissues are depleted, burning arises in the mind; other complications also occur in such a state.

पच्यते कोष्ठ एवान्नमम्लयुक्तै रसैर्युतम् । प्रायोऽस्य क्षयभागानां नैवान्नं चाङ्गपुष्टये ॥ १,१५२.

Food is digested in the gut itself, mixed with sour juices; generally, for those with wasting, food does not nourish or strengthen the limbs.

रसो ह्यस्य न रक्ताय मांसाय कुरुते तु तत् । उपष्टब्धः समन्ताच्च केवलं वर्तते क्षयी ॥ १,१५२.

Indeed, the essence (rasa) does not become blood or flesh for such a person; being obstructed all around, it remains only as a wasting condition.

लिङ्गेष्वल्पेष्वतिक्षीणं व्याधौ षट्करणक्षयम् । वर्जयेत्साधयेदेव सर्वेष्वपि ततोऽन्यथा ॥ १,१५२.

When the signs are few and the disease is not severe, and the six senses are not exhausted, one should avoid (treatment); otherwise, in all cases, one should treat.

दोषैर्व्यस्तैः समस्तैश्च क्षयात्सर्वस्य मेदसः । स्वरभेदो भवेत्तस्य क्षामो रूक्षश्चलः स्वरः ॥ १,१५२.

When all the humors are disturbed, and all the fat is wasted, there is hoarseness of voice; the voice becomes thin, dry, and unsteady.

शुकवर्णाभकण्ठत्वं स्निग्धोष्णोपशमोऽनिलात् । पित्तात्तालुगले दाहः शोषो भवति सन्ततम् ॥ १,१५२.

The throat takes on a white color, and relief comes from oily and warm things due to wind; from bile, there is constant burning and dryness in the palate and throat.

लिम्पन्निव कफैः कण्ठं मुखं घुरघुरायते । स्वयं विरुद्धैः सर्वैस्तु सर्वालिङ्गैः क्षयो भवेत् ॥ १,१५२.

The throat seems smeared with phlegm, and the mouth makes a gurgling sound; when all the signs are present together, wasting occurs.

धूमायतीव चात्यर्थमुदेति श्लेष्मलक्षणम् । कृच्छ्रसाध्याः क्षयाश्चात्र सर्वैरल्पञ्च वर्जयेत् ॥ १,१५२.

It rises greatly, as if filled with smoke, showing phlegmatic symptoms; wasting that is difficult to cure should be avoided, especially when all signs are present.

श्रीगरुडमहापुराणम्

Thus ends the Śrī Garuḍa Mahāpurāṇa.

धन्वन्तरिरुदाच । अरोचकनिदान्ते वक्ष्येऽहं सुश्रुताधुना । अरोचको भवेद्दोषैर्जिह्वाहृदयसंश्रयैः ॥ १,१५३.

Dhanvantari said: Now I will explain the causes of loss of appetite, as taught by Suśruta; loss of appetite arises from humors residing in the tongue and heart.

सन्निपातेन मनसः सन्तापेन च पञ्चमः । कषायतिक्तमधुरं वातादिषु मुखं क्रमात् ॥ १,१५३.

By the combination of all humors and by mental distress, a fifth type occurs; in wind and other disorders, the mouth tastes successively astringent, bitter, and sweet.